Evidence map›Paper›PMID 40718616›Full record

ArticleEuroasian journal of hepato-gastroenterology

Breast to Bowel: Unraveling the Metastatic Enigma of Signet Ring Cell Carcinoma.

Mirza F Saeed, Kawther Nemrish, Khadeja Alrefaie, Fatima AlHashimi, Isam M Juma

Abstract readCase Reports
In one paragraph

Article in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mirza F SaeedDepartment of General Surgery, King Hamad University Hospital, Muharraq, Bahrain.ORCID https://orcid.org/0000-0002-0343-2146
Kawther NemrishDepartment of Medicine, Royal College of Surgeons in Ireland, Busaiteen, Bahrain.
Khadeja AlrefaieDepartment of Medicine, Royal College of Surgeons in Ireland, Busaiteen, Bahrain.ORCID https://orcid.org/0009-0003-7444-3832
Fatima AlHashimiDepartment of Histopathology, King Hamad University Hospital, Royal Medical Services, Busaiteen, Bahrain.ORCID https://orcid.org/0000-0002-9213-0624
Isam M JumaDepartment of General Surgery, King Hamad University Hospital, Muharraq, Bahrain.ORCID https://orcid.org/0000-0003-4470-677X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and background: Signet ring cell carcinoma (SRCC) is a rare variant of adenocarcinoma, typically presenting as gastric carcinoma and infrequently in the breast. Metastasis from breast cancer to the colorectum is notably rare. This case report documents a unique presentation of primary breast invasive lobular SRCC with colorectal metastasis and highlights the diagnostic challenges of such cases. Case description: A 52-year-old woman with a history of type II diabetes mellitus presented with obstipation, abdominal pain, and significant weight loss. Initial evaluations suggested colorectal malignancy. However, further diagnostic procedures, including colonoscopy, computed tomography scans, positron emission tomography computed tomography scan, breast imaging, and histopathological examinations revealed a more complex scenario. The identified rectal mass was a metastatic manifestation of primary breast cancer, specifically an invasive lobular carcinoma with a signet ring cell variant. The rarity of SRCC metastasizing from the breast to the colorectum adds complexity to the diagnostic process. Despite the typical negative expression for CK7 and CK20 in breast SRCC, this case exhibited a positive E-cadherin immunoreactivity. Hormone receptor analysis played a crucial role in distinguishing the primary site of the malignancy. Conclusion: This case contributes valuable insights into the rare occurrence of breast SRCC metastasizing to the colorectum. It highlights the importance of considering metastasis in differential diagnoses and advocates for multidisciplinary management in complex oncological cases. Clinical significance: Despite the aggressive nature and complex treatment requirements of such cases, the importance of a tailored approach in managing metastatic breast cancer is highlighted. The need for further research to better understand and manage this rare malignancy subtype is evident. How to cite this article: Saeed MF, Nemrish K, Alrefaie K,

Indexed as

Breast carcinomaCase reportColon metastasisSignet-ring cell

Identifiers

PMID40718616
PMCPMC12288582

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.